Variations in pain management outcomes among palliative care centers and the impact of organizational factors

Dong Wook Shin, Seung Sik Hwang, Juhwan Oh, Jung Hoe Kim, Jong Hyock Park, Juhee Cho, Belong Cho, Kee Taig Jung, Euncheol Park

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: The assessment of pain management outcomes is important for the quality assurance of palliative care. The objective of this study was to determine whether there are significant variations in pain management outcomes among palliative care centers and whether they are affected by organizational factors. Methods: Data used in this investigation were from the 2009 Korean Terminal Cancer Patient Information System and administrative records of the 34 inpatient palliative care centers designated by the Korean Ministry of Health and Welfare in 2009. Self-reported pain scores (range, from 0 to 10) at admission and 1 week after admission were prospectively collected. Multilevel mixed-effect regression models were used to analyze the variations and the impact of organizational-level factors on 2 pain management outcomes (ie, reduction in average pain score and achievement of adequate pain control at 1 week after admission). Results: In total, 1711 patients with terminal cancer were included in the analyses. The mean reduction in the pain score was 0.69 to 1.91 after 1 week, and most patients (82.8%) achieved adequate pain control. There were significant variations in pain management outcomes among palliative care centers. Higher composite scores for human resources adequacy were associated significantly with a greater reduction in pain score (β, 0.11; 95% confidence interval, 0.01-0.21), and achievement of adequate pain control (adjusted odds ratio, 1.26; 95% confidence interval, 1.10-1.45). Conclusions: There were significant variations in pain management outcomes among inpatient palliative care centers, and they were affected by organizational factors, such as human resources adequacy.

Original languageEnglish
Pages (from-to)5688-5697
Number of pages10
JournalCancer
Volume118
Issue number22
DOIs
Publication statusPublished - 2012 Nov 15

Fingerprint

Pain Management
Palliative Care
Pain
Inpatients
Confidence Intervals
Information Systems
Neoplasms
Odds Ratio
Health

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

Cite this

Shin, Dong Wook ; Hwang, Seung Sik ; Oh, Juhwan ; Kim, Jung Hoe ; Park, Jong Hyock ; Cho, Juhee ; Cho, Belong ; Jung, Kee Taig ; Park, Euncheol. / Variations in pain management outcomes among palliative care centers and the impact of organizational factors. In: Cancer. 2012 ; Vol. 118, No. 22. pp. 5688-5697.
@article{ca9b307668364b4c8dca1eb810fb13c8,
title = "Variations in pain management outcomes among palliative care centers and the impact of organizational factors",
abstract = "Background: The assessment of pain management outcomes is important for the quality assurance of palliative care. The objective of this study was to determine whether there are significant variations in pain management outcomes among palliative care centers and whether they are affected by organizational factors. Methods: Data used in this investigation were from the 2009 Korean Terminal Cancer Patient Information System and administrative records of the 34 inpatient palliative care centers designated by the Korean Ministry of Health and Welfare in 2009. Self-reported pain scores (range, from 0 to 10) at admission and 1 week after admission were prospectively collected. Multilevel mixed-effect regression models were used to analyze the variations and the impact of organizational-level factors on 2 pain management outcomes (ie, reduction in average pain score and achievement of adequate pain control at 1 week after admission). Results: In total, 1711 patients with terminal cancer were included in the analyses. The mean reduction in the pain score was 0.69 to 1.91 after 1 week, and most patients (82.8{\%}) achieved adequate pain control. There were significant variations in pain management outcomes among palliative care centers. Higher composite scores for human resources adequacy were associated significantly with a greater reduction in pain score (β, 0.11; 95{\%} confidence interval, 0.01-0.21), and achievement of adequate pain control (adjusted odds ratio, 1.26; 95{\%} confidence interval, 1.10-1.45). Conclusions: There were significant variations in pain management outcomes among inpatient palliative care centers, and they were affected by organizational factors, such as human resources adequacy.",
author = "Shin, {Dong Wook} and Hwang, {Seung Sik} and Juhwan Oh and Kim, {Jung Hoe} and Park, {Jong Hyock} and Juhee Cho and Belong Cho and Jung, {Kee Taig} and Euncheol Park",
year = "2012",
month = "11",
day = "15",
doi = "10.1002/cncr.26722",
language = "English",
volume = "118",
pages = "5688--5697",
journal = "Cancer",
issn = "0008-543X",
publisher = "John Wiley and Sons Inc.",
number = "22",

}

Shin, DW, Hwang, SS, Oh, J, Kim, JH, Park, JH, Cho, J, Cho, B, Jung, KT & Park, E 2012, 'Variations in pain management outcomes among palliative care centers and the impact of organizational factors', Cancer, vol. 118, no. 22, pp. 5688-5697. https://doi.org/10.1002/cncr.26722

Variations in pain management outcomes among palliative care centers and the impact of organizational factors. / Shin, Dong Wook; Hwang, Seung Sik; Oh, Juhwan; Kim, Jung Hoe; Park, Jong Hyock; Cho, Juhee; Cho, Belong; Jung, Kee Taig; Park, Euncheol.

In: Cancer, Vol. 118, No. 22, 15.11.2012, p. 5688-5697.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Variations in pain management outcomes among palliative care centers and the impact of organizational factors

AU - Shin, Dong Wook

AU - Hwang, Seung Sik

AU - Oh, Juhwan

AU - Kim, Jung Hoe

AU - Park, Jong Hyock

AU - Cho, Juhee

AU - Cho, Belong

AU - Jung, Kee Taig

AU - Park, Euncheol

PY - 2012/11/15

Y1 - 2012/11/15

N2 - Background: The assessment of pain management outcomes is important for the quality assurance of palliative care. The objective of this study was to determine whether there are significant variations in pain management outcomes among palliative care centers and whether they are affected by organizational factors. Methods: Data used in this investigation were from the 2009 Korean Terminal Cancer Patient Information System and administrative records of the 34 inpatient palliative care centers designated by the Korean Ministry of Health and Welfare in 2009. Self-reported pain scores (range, from 0 to 10) at admission and 1 week after admission were prospectively collected. Multilevel mixed-effect regression models were used to analyze the variations and the impact of organizational-level factors on 2 pain management outcomes (ie, reduction in average pain score and achievement of adequate pain control at 1 week after admission). Results: In total, 1711 patients with terminal cancer were included in the analyses. The mean reduction in the pain score was 0.69 to 1.91 after 1 week, and most patients (82.8%) achieved adequate pain control. There were significant variations in pain management outcomes among palliative care centers. Higher composite scores for human resources adequacy were associated significantly with a greater reduction in pain score (β, 0.11; 95% confidence interval, 0.01-0.21), and achievement of adequate pain control (adjusted odds ratio, 1.26; 95% confidence interval, 1.10-1.45). Conclusions: There were significant variations in pain management outcomes among inpatient palliative care centers, and they were affected by organizational factors, such as human resources adequacy.

AB - Background: The assessment of pain management outcomes is important for the quality assurance of palliative care. The objective of this study was to determine whether there are significant variations in pain management outcomes among palliative care centers and whether they are affected by organizational factors. Methods: Data used in this investigation were from the 2009 Korean Terminal Cancer Patient Information System and administrative records of the 34 inpatient palliative care centers designated by the Korean Ministry of Health and Welfare in 2009. Self-reported pain scores (range, from 0 to 10) at admission and 1 week after admission were prospectively collected. Multilevel mixed-effect regression models were used to analyze the variations and the impact of organizational-level factors on 2 pain management outcomes (ie, reduction in average pain score and achievement of adequate pain control at 1 week after admission). Results: In total, 1711 patients with terminal cancer were included in the analyses. The mean reduction in the pain score was 0.69 to 1.91 after 1 week, and most patients (82.8%) achieved adequate pain control. There were significant variations in pain management outcomes among palliative care centers. Higher composite scores for human resources adequacy were associated significantly with a greater reduction in pain score (β, 0.11; 95% confidence interval, 0.01-0.21), and achievement of adequate pain control (adjusted odds ratio, 1.26; 95% confidence interval, 1.10-1.45). Conclusions: There were significant variations in pain management outcomes among inpatient palliative care centers, and they were affected by organizational factors, such as human resources adequacy.

UR - http://www.scopus.com/inward/record.url?scp=84868211799&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84868211799&partnerID=8YFLogxK

U2 - 10.1002/cncr.26722

DO - 10.1002/cncr.26722

M3 - Article

VL - 118

SP - 5688

EP - 5697

JO - Cancer

JF - Cancer

SN - 0008-543X

IS - 22

ER -